RN Case Manager

RN Case Manager Position Summary

The RN Case Manager is responsible for coordinating and overseeing the delivery of rehabilitation and medical services for residents in a Skilled Nursing Facility. This role collaborates closely with the interdisciplinary team to ensure cost-effective, high-quality care while facilitating admissions, ongoing utilization review, and discharge planning. The RN Case Manager serves as a resident advocate and primary liaison between the facility, insurance payers, and external medical management professionals.

• Current California RN license in good standing
• Minimum of 3 years of clinical experience in a hospital, skilled nursing facility, or related healthcare setting
• Strong working knowledge of managed care, Medicare, and utilization review guidelines
• Excellent verbal and written communication skills
• Proven ability to multitask, prioritize, and meet deadlines
• Ability to work both independently and collaboratively while following established procedures and regulations
• Demonstrates professionalism, accountability, and solution-oriented thinking
• Displays emotional maturity with the ability to remain calm, focused, and professional in high-pressure situations
• Treats residents, families, and coworkers with respect, kindness, and professionalism at all times

• Welcome and orient new residents, ensuring a positive and supportive admission experience
• Assess, monitor, and communicate resident clinical status, functional changes, and care plan updates to insurance payers
• Document all payer communications, including resident progress, anticipated outcomes, authorizations, and special instructions
• Participate in and collaborate with the interdisciplinary team to coordinate services and maintain continuity of care
• Coordinate with the Business Office and Medical Records departments to ensure accurate census reporting and timely reimbursement for managed care and Medicare residents
• Support efficient discharge planning to promote safe transitions of care

• Competitive compensation
• Comprehensive health benefits including medical, dental, and vision
  , with the company covering a substantial portion of premiums
• 401(k) retirement plan with discretionary annual company match
• Company-paid basic life insurance and disability coverage (voluntary buy-up options available)
• Paid Time Off (vacation, sick, and holiday pay)
• Employee Assistance Program (EAP)
• Tuition Assistance and Professional Development funds
• Bene-Hub employee discount programs and additional perks

* Benefits available to full-time employees.

We are proud to be an Equal Opportunity Employer
.